Acetazolamide 500 mg solution for injection at Sanford Sheldon Medical Center

118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623

Source: hospital's published price file ↗ · Published Mar 4, 2026 · Ingested Aug 12, 2026

$78.58

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$98.22

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$27.75 with Sanford Health Plan Align vs $87.63 with Multiplan — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Sanford Health Plan Align Medicare Replacement $27.75 ↓ -65%
Ucare Medicare Replacement $29.80 ↓ -62%
Great Plains Medicare Advantage Medicare Replacement $30.09 ↓ -62%
Aetna Medicare Replacement $30.09 ↓ -62%
Blue Cross Blue Shield of North Dakota Medicare Replacement $30.09 ↓ -62%
Health Partners Medicare Replacement $30.09 ↓ -62%
United Healthcare Medicare Replacement $30.09 ↓ -62%
Primewest Medicare Replacement $30.67 ↓ -61%
Wellmark HMO $48.69 ↓ -38%
Wellmark PPO $50.63 ↓ -36%
Sanford Health Plan Group Health/True $52.17 ↓ -34%
Sanford Health Plan SD Exchange True $52.17 ↓ -34%
Security Health Plan Commercial $53.55 ↓ -32%
Sanford Health Plan Commercial/ND Pers $61.37 ↓ -22%
Sanford Health Plan SD Exchange Commercial $61.37 ↓ -22%
Health Partners State Employees $64.26 ↓ -18%
Health Partners Commercial $73.03 ↓ -7%
Medica Choice $80.33 ↑ +2%
United Healthcare Commercial + Top 20 $81.30 ↑ +3%
Aetna Commercial $84.61 ↑ +8%
Ucare Commercial $85.55 ↑ +9%
Medica Elect $85.88 ↑ +9%
Healthez Commercial $87.63 ↑ +12%
First Choice Health Network Commercial $87.63 ↑ +12%
Multiplan Commercial $87.63 ↑ +12%

Visitor-reported prices

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Acetazolamide 500 mg solution for injection at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $77.07 not published
MercyOne Dubuque Medical Center Dubuque $55.20 $17.23 – $55.20
MercyOne Dyersville Medical Center Dyersville $55.20 $17.23 – $62.13
MercyOne Clinton Medical Center Clinton $55.20 $15.62 – $55.20
MercyOne Oelwein Medical Center Oelwein $55.20 $17.23 – $55.20
MercyOne Cedar Falls Medical Center Cedar Falls $55.20 $12.97 – $55.20
MercyOne Elkader Medical Center Elkader $55.20 $17.23 – $57.70
MercyOne West Des Moines Medical Center West Des Moines $184.00 $17.23 – $184.00

All Iowa hospitals for this procedure →